Maternal–Foetal Diabetes Modifies Neonatal Fc Receptor Expression on Human Leucocytes
Open accessAbstract
This study investigated the expression of the neonatal Fc receptor (FcRn) in maternal blood, cord blood and placental cells and determined IgG levels in maternal blood and cord blood from diabetic mothers. Peripheral blood, cord blood and placenta samples were collected from 26 mothers with normoglycaemia (non‐diabetic, ND group) and 52 with hyperglycaemia (26 with mild gestational hyperglycaemia, MGH group, and 26 with type 2 diabetes mellitus, DM‐2 group). Cells expressing CD 19+ and FcRn were identified by flow cytometry. Total IgG and its subclasses were quantified by ELISA. Maternal blood from DM‐2 and cord blood from MGH exhibited a higher proportion of CD 19+ expression by B cells. DM‐2 showed a lower proportion of CD 19+ cells in placenta. FcRn expression increased in cells from cord blood and placenta from MGH. Maternal blood, cord blood and placenta cells from DM‐2 showed lower FcRn expression. Blood IgG levels were lower in DM‐2, and cord blood IgG levels were higher in MGH. The highest levels of IgG4 were detected in the blood of hyperglycaemic mothers. The highest IgG3 and IgG4 levels in cord blood were detected in MGH, and the lowest IgG2 and IgG3 levels in DM‐2. Maternal hyperglycaemia compromised placental transfer of IgG1, IgG3 and IgG4. The results suggest that regardless of hyperglycaemia degree, it decreases FcRn expression in placenta and blood cells and compromises the production and transfer of antibodies from maternal blood to newborns.
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There was no statistically significant difference in total IgG levels in newborns between groups of mothers.
“There was no statistically significant difference in total IgG levels in newborns between groups of mothers.”
From Factors Affecting the FcRn-Mediated Transplacental Transfer of Antibodies and Implications for Vaccination in Pregnancy (2017) · cites this paper as [115]
Table 2 reports a statistically significant difference in total IgG in cord blood between the mild gestational hyperglycaemia and non-diabetic groups (P < 0.05); the Results also describe higher cord-blood IgG in the former group. Although the Results say newborn IgG was similar between groups when discussing Figure 4, that figure presents placental transfer rates, not the cord-blood concentrations reported in Table 2. The claim that there was no significant difference in total IgG levels between groups is therefore contrary to the reported concentration results. (LLM, conf=0.84)
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Experimental — accuracy not yet measuredFcRn expression increased with mild gestational hyperglycemia.
“Interestingly however, FcRn expression increased with mild gestational hyperglycemia.”
From Factors Affecting the FcRn-Mediated Transplacental Transfer of Antibodies and Implications for Vaccination in Pregnancy (2017) · cites this paper as [115]
On subclass analysis, there was significantly lower transfer of IgG1, IgG3, and IgG4 in women affected by diabetes, but significantly higher transfer of IgG3 in women with mild gestational hyperglycemia.
“Differences were observed on subclass analysis however, with significantly lower transfer of IgG1, IgG3, and IgG4 in women affected by diabetes, but significantly higher transfer of IgG3 in women with mild gestational hyperglycemia.”
From Factors Affecting the FcRn-Mediated Transplacental Transfer of Antibodies and Implications for Vaccination in Pregnancy (2017) · cites this paper as [115]
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Sorted by citations
Wilcox, C. R., Holder, B., & Jones, C. E. (2017) · Frontiers in Immunology · doi:10.3389/fimmu.2017.01294 · Cited by 200 · see citing works
“More recently, De Souza et al investigated both the transfer of IgG and expression of FcRn expression (measured by flow cytometry), in normo- and hyperglycaemic mothers (115).”
Background
- Authors
- de Souza, E. G., Hara, C. C. P., Fagundes, D. L. G., de Queiroz, A. A., Morceli, G., Calderon, I. M. P., França, E. L., & Honorio‐França, A. C.
- Affiliations
- Institute of Biological and Health Science Federal University of Mato Grosso Barra do Garças MT Brazil
- Universidade Estadual Paulista (Unesp) (BR)
- Universidade Federal de Mato Grosso (BR)
- Graduate Program in Gynecology Obstetrics and Mastology Botucatu Medical School São Paulo State University/UNESP Botucatu SP Brazil
- Venue
- Scandinavian Journal of Immunology
- Publisher
- Wiley
- Published
- 2016-09-26
- Volume
- 84
- Issue
- 4
- Pages
- 237-244
- ISSN
- 0300-9475 (ISSN-L)
- 1365-3083
- OpenAlex
- W2501955543
- Cited by
- 22
- References
- 5
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 2 · 2020: 2 · 2019: 1 · 2017: 3
- FWCI
- 1.72
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Scandinavian Journal of Immunology (publishedVersion)
- PubMed (publishedVersion)
- UNESP Institutional Repository (São Paulo State University) (submittedVersion)
- Funders
- Fundação de Amparo à Pesquisa do Estado de São Paulo (2012/18033‐0, 2012/24212‐4, 2013/13017‐9)
- Fundação de Amparo à Pesquisa do Estado de Mato Grosso (158085/2014)
- Conselho Nacional de Desenvolvimento Científico e Tecnológico (308702/2013‐1, 475238/2013‐3)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Gestational Diabetes Research and Management
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Monoclonal and Polyclonal Antibodies Research
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Keywords
- neonatal Fc receptor, maternal diabetes, type 2 diabetes, umbilical cord blood, placenta, B cells, IgG subclasses, IgG4, transplacental antibody transfer, maternal-fetal antibody transfer, hyperglycemia
- MeSH terms
- Adult, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Female, Fetal Blood, Fetus, Humans, Immunoglobulin G, Infant, Newborn, Leukocytes, Mononuclear, Maternal-Fetal Exchange, Placenta, Pregnancy, Receptors, Fc, Histocompatibility Antigens Class I, Gene Expression, Diabetes, Gestational, Antigens, CD19
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